Plasma riche en plaquettes pour le traitement de lésions tendineuses

Kaux, Jean-François; Drion, Pierre; Croisier, Jean-Louis; Crielaard, Jean-Michel

doi:10.1016/j.jrm.2015.03.004

Cited by 1 publication

(1 citation statement)

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“…This is why new treatments, including PRP, are currently being assessed. Although highly popular with athletes, however, its use remains scientifically controversial [10][11][12], particularly of products and kits available in the market as PRP and also due to different methodologies and lack of standardization to obtain PRP [13][14][15]. To optimize its use, it is important to take a look at the various stages of obtaining PRP [16].…”

Section: Introductionmentioning

confidence: 99%

The use of platelet-rich plasma to treat chronic tendinopathies: A technical analysis

Kaux¹,

Emonds-Alt²

2017

Platelets

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Platelet-rich plasma (PRP) is blood plasma with a high concentration of autologous platelets which constitute an immense reservoir of growth factors. The clinical use of PRP is widespread in various medical applications. Although highly popular with athletes, the use of PRP for the treatment of tendinopathies remains scientifically controversial, particularly due to the diversity of products that go by the name of "PRP." To optimize its use, it is important to look at the various stages of obtaining PRP. In this literature review, we take a closer look at eight parameters which may influence the quality of PRP: 1) anticoagulants used to preserve the best platelet function, 2) the speed of centrifugation used to extract the platelets, 3) the platelet concentrations obtained, 4) the impact of the concentration of red and while blood cells on PRP actions, 5) platelet activators encouraging platelet degranulation and, hence, the release of growth factors, and 6) the use or nonuse of local anesthetics when carrying out infiltration. In addition to these parameters, it may be interesting to analyze other variables such as 7) the use of ultrasound guidance during the injection with a view to determining the influence they have on potential recovery.

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